A nurse is teaching a parent of a 4-month-old infant who has developmental dysplasia of the hip and is prescribed a Pavlik harness. Which of the following instructions on the use of a Pavlik harness should the nurse include in the teaching?
"Avoid massaging the skin under the straps."
"Use lotion on the skin under the harness."
"Adjust the harness straps weekly."
"Place the diaper under the straps."
The Correct Answer is D
A. "Avoid massaging the skin under the straps." Gentle massage is recommended to promote circulation and prevent skin breakdown.
B. "Use lotion on the skin under the harness." Lotion or powders should be avoided because they can cause skin irritation and breakdown.
C. "Adjust the harness straps weekly." Only the healthcare provider should adjust the straps to ensure proper hip positioning.
D. "Place the diaper under the straps." This helps keep the harness clean and dry, preventing skin irritation and breakdown.
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Related Questions
Correct Answer is D
Explanation
A. Basketball. Basketball is a high-impact sport with a risk of falls and collisions, which could lead to bleeding episodes in a child with hemophilia.
B. Soccer. Soccer involves physical contact and a high risk of injury, making it unsafe for children with hemophilia.
C. Gymnastics. Gymnastics carries a risk of falls, bruising, and joint injuries, which can lead to internal bleeding.
D. Bowling. Bowling is a low-impact sport with minimal risk of injury, making it a safe option for children with hemophilia.
Correct Answer is A
Explanation
A. "Have the child bend forward at the waist and check for asymmetry of the scapula." This maneuver is known as the Adam's forward bend test and is used to screen for scoliosis, which commonly appears during adolescence.
B. "Auscultate the abdomen for at least 1 min if bowel sounds are absent." If bowel sounds are absent, the nurse should listen for at least 5 minutes in each quadrant before concluding they are truly absent.
C. "Use the FACES scale to assess pain." The FACES scale is typically used for younger children (3-7 years old). Adolescents can usually use a numeric rating scale (0-10) for pain assessment.
D. "Observe abdominal movement to determine the respiratory rate." Abdominal breathing is characteristic of infants and younger children. In adolescents, the nurse should observe chest movement to assess respiratory rate.
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